HomeMy WebLinkAbout100474 RIETH-RILEY CONSTRUCTION CO INC r
c✓ INDIANA RETAIL TAX EXEMPT Page 1 of IIi1
t of
Carmel
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 100474
ONE CIVIC SQUARE L 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
5/25/2017 00350596 Project 16-ENG-31/Project 17-ENG-13;Contract Date 06.07.17
RIETH-RILEY CONSTRUCTION CO INC City Engineering's Office
VENDOR PO BOX 276 SHIP 1 Civic Square
TO Carmel, IN 46032-
INDIANAPOLIS,IN 46206- Kate Lustig
PURCHASE IDi BLANKET 1 CONTRACT PAYMENT TERMS FREIGHT
15681
QUANTITY i UNIT OF(MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 2200 Fund: 202 Local Road & Street Fund
Account: 43-509.00
1 Each 6th Street SW-Construction $276,755.78 $276,755.78
Sub Total $276,755.78
Department: 2200 Fund: 203 CUM Cap Improvement Fund
Account: 43-509.00
1 Each 6th Street SW-Construction $148,907.00 $148,907.00
Sub Total $148,907.00
Send Invoice To:
City Engineering's Office
Kate Lustig
1 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT y PROJECT I_ PROJECT ACCOUNT AMOUNT
PAYMENT $425,662.78
SHIPPING INSTRUCTIONS *A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL _..._.._.
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 _
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY _- --------
Jeremy Kashman Douglas Haney
TITLE Director Corporation Counsel ,,.) Ilq .
CONTROL NO. 100474 CLERK-TREASURER